---
title: Disinfectant Wipes should not be used…..Say WHAT?!
description: Disinfectant Wipes should not be used…..Say WHAT?!
---

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## Disinfectant Wipes should not be used…..Say WHAT?!

<http://static1.squarespace.com/static/595689fc9de4bbc892200518/t/59568ace5fd63b5f292879be/1498845244772//img.jpg.com/static/595689fc9de4bbc892200518/t/59568ace5fd63b5f292879bf/1498843854602/1000w/>

While writing does not always come easy, one of the  
 things I like most about writing the Talk Clean To Me Blog is that I can state  
 my opinion in black and white with the hopes that some may agree and welcome  
 the dialogue that occurs with those of you who think I’m completely off my  
 rocker.

 

In the world of cleaning and disinfection, the science or  
 proof some people rely on cannot keep up with the myriad of new products or  
 processes that enter the market place.   
Does this mean that one should not consider changing products or  
 processes until such time as there is statistically significant information  
 published about these new products or processes?  Most definitely not!

Let’s consider the pre-moistened disinfectant wipe.  Are they new to the market?  NO.  Have  
 they been used successfully at many facilities across the globe?  YES.   
To ensure a successful infection prevention program, do we need to  
 consider how to use them correctly to ensure the desired outcome?  MOST DEFINITELY!

In a recent [infection prevention and control guideline for environmental cleaning and disinfection](http://www.oahpp.ca/resources/documents/pidac/Environmental%20Cleaning%20BP_ENGLISH_FINAL_2012-07-15.pdf) the following statement was  
 included:

“Disinfectant wipes should be used by the primary care  
 giver for point of care cleaning and disinfecting of patient equipment. They  
 should not be used as a routine cleaning disinfectant tool.”

Admittedly, for the sake of keeping the blog to a  
 reasonable length, I have not included the entire section, however, should you  
 take the time to read the guideline, you will find that it is vague and without  
 any references to support its justification.   
While I agree wholeheartedly that all disinfectants must be used  
 appropriately, the danger in making such a statement is that there is no strong  
 scientific evidence to conclusively limit the use of pre-moistened wipes at  
 this time.   Perhaps instead, there  
 should have been a more detailed discussion about the appropriate use of  
 pre-moistened disinfecting wipes to ensure that they are used in such a fashion  
 as to ensure contact time in accordance to the label is met.   Many of the leading pre-moistened wipes  
 available on the market are Quat-alcohol based products with anywhere from 2 to  
 5 minute contact times.  As proven by  
 science, such products will not remain on the surface for the contact time  
 listed on the label as a result of the rapid evaporation rate of alcohol.  In fact a study published by [Omidbakhsh in 2010 in the Journal of AOAC International](http://www.virox.com/download.aspx?ItemInfoID=474) investigated the discrepancy between  
 drying time and contact time with respect to product efficacy.  Additionally, there have been publications  
 investigating the effects of wipes in contaminating surfaces providing  
 compelling evidence that we want to use 1 wipe for each surface especially if  
 using a weak or slow-acting disinfectant in the wipe where the true chances of  
 achieving disinfection are limited at best.

That said, proper disinfection with such wipes can be  
 achieved with the physical action of wiping provided the disinfectant itself  
 has a good and rapid broad-spectrum microbicidal activity. Therefore, there has  
 to be a change in our thinking with regards to contact time for wipes as  
 opposed to longer contact times needed when just spraying or pouring a liquid  
 on surfaces. Perhaps the conclusion should be that in choosing a pre-moistened  
 disinfectant wipe, one must consider more than just the cost per wipe. There  
 needs to be a more fulsome investigation as to the number of wipes needed to  
 achieve the contact time as listed on the label.  We need to review how the wipes will be  
 utilized to ensure that good physical friction will be applied to help in  
 removal of the pathogens from the surface, as well as frequent changing of such  
 wipes to avoid redistributing the removed pathogens.  Lastly, one cannot discount the size of the  
 wipe.  Certainly, the traditional wipes  
 used in clinical areas for disinfecting patient care items such as BP Cuffs or  
 Stethoscopes would not be recommended for use by Environmental Services due to  
 their smaller size, however, most companies specializing in pre-moistened wipes  
 provide larger options (10x10 inches or 12x12 inches) which are more than  
 adequate for cleaning larger surfaces sizes. 

Perhaps the use of pre-moistened disinfectant wipes is no  
 different than the use of antibiotics?   
When prescribing antibiotics you need the right drug at the right  
 concentration for the right length of time.   
For pre-moistened wipes you need the right claims, the right contact  
 time and the right size to do the job.

So….am I off my rocker?

 

*Bugging Off! *

Nicole

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